Provider Demographics
NPI:1346595337
Name:UZOAMAKA, CHINYERE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHINYERE
Middle Name:
Last Name:UZOAMAKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:CHINYELU
Other - Middle Name:
Other - Last Name:NWINYI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:95 ARMORY RD
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-1753
Mailing Address - Country:US
Mailing Address - Phone:203-331-7690
Mailing Address - Fax:
Practice Address - Street 1:95 ARMORY RD
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-1753
Practice Address - Country:US
Practice Address - Phone:203-331-7690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CT054749207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program